PROSPECT CHARTERCARE RWMC, LLC

PROVIDENCE, RI
NPI1760977136
Entity TypeOrganization
Authorized ContactROBERT JON ELDERS
Secretary
714-788-1249
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date2018-06-27
Last Update Date2021-01-11
Business Address
PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2000
Mailing Address
PROSPECT CHARTERCARE RWMC, LLC
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2000
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